| Holistic Therapy And Life Coaching Llc | |
|
200 Washington St Ste 205 Watertown NY 13601-3335 | |
| (315) 775-8838 | |
| (315) 800-6487 |
| Full Name | Holistic Therapy And Life Coaching Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 200 Washington St Ste 205, Watertown, New York |
| Authorized Official Name and Position | Jacqueline Malcolm (OWNER) |
| Authorized Official Contact | 6154243912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Therapy And Life Coaching Llc 25419 Huntley Ln Carthage NY 13619-7502 Ph: (615) 424-3912 | Holistic Therapy And Life Coaching Llc 200 Washington St Ste 205 Watertown NY 13601-3335 Ph: (315) 775-8838 |
| NPI Number | 1013884436 |
|---|---|
| Provider Enumeration Date | 10/21/2025 |
| Last Update Date | 12/03/2025 |
| Certification Date | 12/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013884436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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